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Active Ingredient: tadalafil sildenafil citrate
Sildalis is a combination drug, consisting both of Tadalafil and Sildenafil citrate. This combined medication is designed for the treatment of the sexual dysfunction in men.

Description Sildalis drug

The most effective and relatively safe medications for the restoration of the normal Viagra potency are considered, the main component of which is a chemically synthesized substance sildenafil, and Cialis that contains Tadalafil. The action of these drugs is largely identical, but doctors ratings show that the effect of tadalafil lasts more than 24 hours.
But scientists did not stop there, and as a result of many years of hard work and a number of clinical trials have been developed a new drug – Sildalis. It includes and tadalafil, and sildenafil in different concentrations. This provides a sufficiently rapid and prolonged drug efficacy. In addition, its price is significantly lower than the mentioned analogues.

Operating principle
To understand how “works” Sildalis, you must briefly refer to the appearance of erection physiology. In response to sexual stimulation begins a series of hormonal and enzymatic reactions in the male genital organs. The result is a cyclic guanosine monophosphate or abbreviated – cGMP. This enzyme relaxes the muscle tissue of the corpus cavernosum, which occupy most of the inside of the penis. They are filled with arterial blood, and increase in size, providing an erection.
After intercourse cells corpus cavernosum has been operating for another enzyme – phosphodiesterase (PDE). This material is not only in the genital organs, it is present in almost all cells of the body. On the internal tissues of the penis affects a specific type of PDE fifth, which destroys cGMP. As a result, the process is reversed: the outflow of blood from the penis is reduced, and it acquires previous size.
Reviews of researchers suggest that the effect of sildenafil and tadalafil, which are part of Sildalis tablets are intended to selectively inhibit the enzyme PDE-5. The result is a fairly prolonged erection for normal sexual intercourse.
But all of these physiological processes are under the control of the brain. Therefore Sildalis not help in the absence of libido or sexual arousal. If a man does not feel sexual attraction to the opposite sex, then it is most likely indicative of hormonal disorders and requires treatment appropriate drugs.

Route
The main indication for the use Sildalis capsules is erectile dysfunction. Reviews of doctors tell in detail about the causes of disorders of potency. Only in 20% of cases, this problem is caused by psychological factors, stress and fatigue. In most cases the cause are:
-Cardiovascular diseases associated with impaired circulation.
-Endocrine diseases, in most cases – diabetes.
-Infectious and inflammatory diseases of the genitourinary system.
-Hormonal disorders.
-Age-related changes in an organism.
-Taking certain medications.

Instructions for use states that Sildalis be effective in almost all these cases. Feedback from customers has never talked about the ineffectiveness of these tablets, which is a huge advantage, especially considering that the price is relatively low.
Instructions for use describes in detail how to take these pills. Reviews of researchers say that the effect of the drug begins after 15-20 minutes, but the doctor advised to take Sildalis 30-40 minutes before intercourse. Upon receiving means normally retained its effectiveness to 36 hours. It consists of 100 mg of sildenafil and tadalafil 20 mg. This is a fairly high dose of active ingredients, so more than one capsule is not recommended to take a day.

As mentioned above, the PDE enzyme is present not only in the tissues of the penis. Although Sildalis has a sufficiently high selectivity, it is also to varying degrees and can affect the action of phosphodiesterase in other organs. Reviews of researchers argue that it is linked to the side effects of medication. Instructions for use refers to such possible complications after taking the capsules:
-Headache, dizziness.
-Shortness of breath, heart palpitations.
-Fluctuations in blood pressure.
-Sleep disturbances, increased nervous irritability.
-Allergic reactions on the skin.
-Violation of color vision, blurred vision.
-Muscle pain in the back.
-The emergence of uncontrolled erection unrelated to sexual arousal.
However, in most cases, these side effects are observed in the presence of concomitant diseases of the cardiovascular system, liver or kidneys. This suggests that one should visit the district physician before using the drug.

Precautionary measures
Most Sildalis contraindications to capsules not so much related to the impact of the drug on the body components, but with limitations for increased sexual activity due to various diseases. For instructions on the use of this medication is not recommended to take it in the following cases:
-The first 6 months after suffering a heart attack or stroke.
-Too high or, conversely, reduced blood pressure,.
-Severe heart failure, heart rhythm disorders.
-Regular bouts of migraine, epilepsy.
-Severe renal and hepatic failure.
-Gastric ulcer during the exacerbation.
-Hypersensitivity to the drug.

^Also, this drug is strictly prohibited to take along with medicines containing nitrogen compounds. Some antibiotics, such as rifampicin and erythromycin, slow clearance between the active components of the drug from the body, so in this case the required dosage reduction.^
It is worth noting that high-fat foods can slow the onset of action of tablets, and the excess of alcohol increases the risk of complications of the cardiovascular system. Furthermore, even if you are sure that there are no contraindications at the reception of these capsules, it is still in front of the reception is necessary to consult a doctor.

Сost of
In the pharmaceutical market, the drug appeared for a long time, so it can be easily purchased without a prescription the doctor at any pharmacy or online store. The price depends on the number of tablets in the package, the more of them – the value of one capsule below.
^Just one tablet ensures stable and erection long enough sex for at least a day.^
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